HomeMy WebLinkAbout2018-00320 (water meter) CITY OF ORONO I 1 1H 1 11 11 I I„
2750 KELLEY PARKWAY * 21 8 - 0 0 3
DATE ISSUED: 03/20/22 011
8
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2510 CASCO POINT RD
PIN : 20-117-23-21-0016
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 004 BLOCK 006
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4600
1”NEPTUNE WATER METER AND HORNS
SERIAL#54104358
ERT# 1547189170
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
•
APPLICANT WATER METER RESIDENTIAL 388.15
WATER METER RESIDENTIAL HORN 144.64
STEWART PLUMBING,INC. TOTAL 532.79
13025 GEORGE WEBER DR
Payment(s)
SUITE#1 CREDIT CARD 3122 532.79
ROGERS,MN 55374
(763)428-1833
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
HART,MICHAEL&KRISTIN
2510 CASCO PT RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued y Signature Date
Stewart Plumbing, Inc. 7634281733 p.1
OR
K USE ONLY �
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Date Recei d: � Pcrmit f1w v v
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By:(If Required):
(952)249-4600
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c. CITY OF ORONO—WATER METER FORM
(Nate:Some permits may require approval by the Building Official and/or Public Works Department)
GENERAL INFQRMATION
1. WATER METERS must be picked up and paid for at City Hall.
2. If possible,fax in this application ahead of time;we will then call you and let you know we have
the water meter in stock. Fax Number.(952)249-4616_ Also,you can call ahead of time to make
sure we recreived the fax,or to warn us that the fax is coming.
3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4600,
upon completion of meter installation.
TYPE OF PERMIT
(Check All That Apply)
0 Residential(May Require Approval) D Commercial(Approval Required)
0. New Meter 0 Additional Meter-For. 0 Replacement Meter
Job Site/Owner Information:
Site Address: f nn
57 o 6sco P-I- tcI
Owner: /ME 4(4- Mailing Address: S10 Casco Pfrd
City: Orono Zip: x`5-39
Home Phone: Alternate Phone:
Contractor Infotimation:
�u Zh
Contractor: ��+4" �t�n/k�1 �� Contact Person:
Address: 30Ac 601 weir( dr State License#: Pir1O4131
City: erS Zip:5S37L Expiration Date:
Phone: 763! 8-/R33 Alternate Phone:
Stewart Plumbing, Inc. 7634281733 p.2
WATER METER PERMIT FEES
WILL BE CAULULATED BY CITY STAFF
❑ 5/8"METER- 0 3/4"METER- ® 1"METER-
5/8"HORN - ❑ 3/4"HORN - [1 l"HORN -
❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
1. METER FEE: $
2. HORN FEE $
3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $
11111 1111111 11111 1111 111 1 111
CITY-USE ONLY 1547189170
1111111111111111111111111111
*For Current Pricing Refer to Current Year-Water Meter Pricing Chart* 1547189170
BRAND: ED2F11RDG3
SIZE: ❑5/8" ❑3/4" 0 1" ❑Other " :!
IIIIIlIlt!
54104358
1111111
SERIAL#: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIii!
ERT HIGH#: (if applicable)
ADDITIONAL INFORMATION—WATER METERS
The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees
to do all work in strict accordance with the ordinances of the City and the regulations of the State
of Minnesota,and certifies that all statements made on this application are,true and correct.
Applicant: Date: PO
Original: 1-Address File
Make Copies For: 1-Utility Billing Department